Individual provider Active NPI

Amy Huynh Jordison, MFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1689111668
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113126 Issued in CA
Practice address
1400 Quail St Ste 180
Newport Beach, CA 92660-2730
Phone
(949) 562-3085
Fax
(949) 419-3458
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 113126 CA Primary

Addresses

Primary practice location

1400 Quail St Ste 180
Newport Beach, CA 92660-2730

Mailing address

1400 Quail St Ste 180
Newport Beach, CA 92660-2730
Phone (949) 562-3085

Other names 1

  • Amy T Huynh Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy@therapywithamy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
113126CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Counseling and Consulting, Inc Marriage & Family Therapist CurrentSince Sep 1, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients

Locations

19772 MacArthur Blvd
Ste 220
Irvine, CA 92612
Phone (949) 304-6727

1400 Quail St
Ste 180
Newport Beach, CA 92660
Phone (949) 561-2438

Interoperability endpoints

  • Direct secure messaging: amyhuynh@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1689111668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 QUAIL ST STE 180",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602730",
            "telephone_number": "949-562-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 QUAIL ST STE 180",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602730",
            "telephone_number": "949-562-3085",
            "fax_number": "949-419-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDISON",
        "first_name": "AMY",
        "middle_name": "HUYNH",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@therapywithamy.com",
            "affiliation": "N",
            "address_1": "1400 Quail St Ste 180",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926602730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HUYNH",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.